Talk:Barrett's esophagus

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Negative

ESOPHAGUS ("BARRETT'S"), BIOPSY:
- COLUMNAR MUCOSA WITH MODERATE CHRONIC, FOCALLY ACTIVE INFLAMMATION.
- BENIGN SMOOTH MUSCLE.
- NO SQUAMOUS EPITHELIUM PRESENT.
- NEGATIVE FOR INTESTINAL METAPLASIA.
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

Possible carry over

A. DUODENUM, BIOPSY:
- SMALL BOWEL MUCOSA AND BRUNNER'S GLANDS WITHIN NORMAL LIMITS.
- NEGATIVE FOR FINDINGS SUGGESTIVE OF CELIAC DISEASE.

B. POLYP, ESOPHAGUS, BIOPSY:
- NECROINFLAMMATORY DEBRIS CONSISTENT WITH ULCERATION.
- COLUMNAR MUCOSA WITH CHRONIC INFLAMMATION AND EOSINOPHILS, NEGATIVE FOR
  INTESTINAL METAPLASIA.
- SMALL FRAGMENT OF INTESTINAL-TYPE MUCOSA, WITHOUT GASTRIC-TYPE
  EPITHELIUM, SEE COMMENT.
- NO SQUAMOUS EPITHELIUM IDENTIFIED.
- NEGATIVE FOR DYSPLASIA.

COMMENT - PART B:
This may represent (1) esophageal mucosa with intestinal metaplasia (compatible with
Barrett's esophagus), or (2) represent carry over from Part A.

A follow-up endoscopy is recommended. A re-biopsy is suggested.

Special stains (GMS, PASF) did not demonstrate micro-organisms.